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Erschienen in: European Archives of Oto-Rhino-Laryngology 9/2018

12.07.2018 | Laryngology

What is a normal pharynx? A videofluoroscopic study of anatomy in older adults

verfasst von: Tary Yin, Marie Jardine, Anna Miles, Jacqui Allen

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 9/2018

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Abstract

Purpose

Structural and functional pharyngeal changes occur with age. How these affect swallowing in healthy older adults is not well defined. This study presents quantitative pharyngeal anatomic features in healthy adults using videofluoroscopic study of swallowing (VFSS). This will help our understanding of the normal changes in swallowing that occur with age and illustrate what may constitute normal variation compared with abnormal swallow function.

Methods

138 mixed gender adults with no history of dysphagia were recruited and underwent a standardized VFSS protocol. Parameters including age, BMI, and gender were correlated with the presence of a cricopharyngeal bar, spinal changes and pharyngeal wall thickness at rest.

Results

46% of participants had notable spinal changes. 8% of participants demonstrated cricopharyngeal bars and 12% of subjects revealed osteophytes. Age positively correlated with the presence of a cricopharyngeal bar (rs = 0.281, p < 0.001) and presence of osteophytes (rs = 0.334, p < 0.001). The incidence of cricopharyngeal bars in adults over 70 years old was 16%.

Conclusions

A significant number of healthy adults with no swallowing complaints have variant pharyngeal anatomic findings such as cervical vertebral osteophytes and cricopharyngeal bars. This must be taken into account when assessing patients with dysphagia complaints to avoid misattribution of symptoms to these potentially asymptomatic variants. This ensures correct recommendations are made regarding management including diet modification, compensatory strategies, and surgical intervention.
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Metadaten
Titel
What is a normal pharynx? A videofluoroscopic study of anatomy in older adults
verfasst von
Tary Yin
Marie Jardine
Anna Miles
Jacqui Allen
Publikationsdatum
12.07.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 9/2018
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5057-6

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